JAKE REARDON (NPI# 1811489081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811489081 |
| Entity Type | Individual |
| Full Name | JAKE REARDON |
| Credential | ATC |
| Practice Address |
1906 College Heights Blvd Bowling Green KY 42101-1000 |
| Mailing Address |
1906 College Heights Blvd Bowling Green KY 42101-1001 |
| Practice Telephone | 2707453542 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1906 COLLEGE HEIGHTS BLVD |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275664153 | Micheal Ray Gaddie | Specialist/Technologist | 1906 College Heights Blvd, Bowling Green, KY 42101-1000 | 2007-03-09 |
| 1902428386 | Synthia Lynnette Frank | Registered Nurse | 1906 College Heights Blvd, Bowling Green, KY 42101-1000 | 2020-05-08 |
| 1134460769 | Terry R Dean | Dentist | 1906 College Heights Blvd, Western Kentucky University, Bowling Green, KY 42101-1000 | 2013-03-06 |
| 1366733222 | Western Kentucky University | Clinic/Center | 1906 College Heights Blvd, Bowling Green, KY 42101-1000 | 2011-04-27 |
| 1912235052 | Ericka Lynsey Powell | Specialist | 1906 College Heights Blvd, Bowling Green, KY 42101-1000 | 2009-12-01 |
| 1669506762 | Western Kentucky University Research Foundation, Inc. | Local Education Agency (LEA) | 1906 College Heights Blvd, Bowling Green, KY 42101-1000 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1881231322 | Corey Lannert | Specialist/Technologist | 165 Natchez Trace Ave Ste 100, Bowling Green, KY 42103-7947 | 2019-12-03 |
| 1740842491 | Toryn Cornell | Specialist/Technologist | 206 Cedar Trail Ave, Bowling Green, KY 42101-7423 | 2019-07-02 |
| 1184281040 | Lauren Locke | Specialist/Technologist | 2911 Crossridge Ct, Bowling Green, KY 42104-4713 | 2019-05-24 |
| 1922516061 | Kassandra Kay Memmer | Specialist/Technologist | 807 Longford Dr, Bowling Green, OH 43402-1563 | 2018-01-10 |
| 1619496601 | Sean-michael Gordon Ruffner | Specialist/Technologist | 5 Orchard Cir, Bowling Green, OH 43402-3127 | 2017-09-12 |
| 1457718645 | Lindsey Sue Griffes | Specialist/Technologist | 910 Klotz Rd Apt 9, Bowling Green, OH 43402-4873 | 2016-01-20 |
| 1811366271 | Alyssa Lassey | Specialist/Technologist | 110 Mcfall Center, Bowling Green, OH 43403 | 2015-09-16 |
| 1104294164 | Ashlee Driscoll | Specialist/Technologist | Bowling Green State University, Bowling Green, OH 43403-0001 | 2015-09-08 |
| 1841668993 | Sean Mcfarland Mcfarland I | Specialist/Technologist | 136 Palmer Ave, Bowling Green, OH 43402-3833 | 2015-09-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.